Evaluating the Effects of EHRs, P4P and Medical Home Redesign in the Hudson Valley
This trial has been completed.
|Conditions||quality of health care, electronic health records|
|Treatments||electronic health record (ehr), medical home redesign|
|Sponsor||Weill Medical College of Cornell University|
|Collaborator||New York State Department of Health|
|Start date||January 2008|
|End date||December 2012|
|Trial size||438 participants|
|Trial identifier||NCT00793065, 0508190240|
The investigators will conduct a longitudinal cohort study with concurrent controls. The investigators will include all primary care physicians in the Hudson Valley including family practitioners, internists, and pediatricians. The purpose of this study is to determine the effects of implementing electronic health records (EHRs), pay-for-performance incentives for physicians (P4P), and Medical Home redesign on health care quality, cost and patient experience in the Hudson Valley.
health care quality (as determined by previously selected and approved quality indicators)
time frame: 5 years
health care utilization
time frame: 5 years
All participants at least 18 years old.
Inclusion Criteria: - Primary care physicians working in the offices practices in the Hudson Valley, and who are members of the Taconic IPA. Exclusion Criteria: - Physicians who opt out from the study.
|Official title||Evaluating the Effects of EHRs, P4P and Medical Home Redesign in the Hudson Valley|
|Principal investigator||Lisa M Kern, MD, MPH|
|Description||The Hudson Valley is implementing several innovative programs to potentially improve quality and reduce the cost of health care delivered. First the Taconic Health Information Network and Communities Regional Health Information Organization (THINC RHIO) is facilitating diffusion of EHRs in office practices in the Hudson Valley. Second, THINC RHIO is also offering a strategic approach to pay-for-performance. Third, an additional component of the THINC P4P project will be an added financial incentive for private practice physicians who implement and reach Level II of Physician Practice Connections® - Patient Centered Medical Home (PCMH)™, NCQA's new national recognition system for physician practices. Our study will seek to determine the effect of each of these initiatives on health care quality and cost of care in the Hudson Valley. We will also measure the patient experience before and after implementation of the Medical Home.|
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